UNDRA L HAGGAN NURSE PRACTITIONER
NPI 1144785684
Nurse Practitioner - Primary Care in Clarksdale, MS

Active since February 08, 2019PECOS EnrolledAccepts Medicare Assignment
1202 DESOTO AVE, CLARKSDALE, MS 38614(662) 202-1297 Get Directions Write a Review

NPPES record last updated: June 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2019, Feb 8, 2019 (2 updates tracked since 2019).

About Undra L Haggan Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNDRA L HAGGAN NURSE PRACTITIONER (NPI 1144785684) is an individual primary care provider in Clarksdale, Mississippi, licensed in Mississippi (903148) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Northwest Missississippi Regional Medical Center, and maintains a secondary practice location in Clarksdale.

NPPES Registry Identity

NPI1144785684
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameUNDRA L HAGGANCredential: NURSE PRACTITIONER
Location Address1202 DESOTO AVEClarksdale, MS 38614-6937
Mailing Address619 S State StClarksdale, MS 38614-6319 · (662) 645-4827
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 8, 2019
Last NPPES UpdateJune 7, 20192 updates tracked since enumeration
NPI 1144785684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MS · 903148
1202 DESOTO AVE, Clarksdale, MS 38614

Secondary Practice Location 1

Location 11202 DeSoto AveClarksdale, MS 38614-6937 · Phone (662) 202-1297

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Undra L Haggan Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800120775
PECOS Enrollment IDI20190626002143
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Missississippi Regional Medical Center

Acute Care Hospitals · Clarksdale, MS
OwnershipProprietary
CMS Certification Number250042
Location1970 Hospital DriveClarksdale, MS 38614 · Coahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1202 DESOTO AVE, SUITE A
CLARKSDALE, MS 38614
Nurse Practitioner
1202 DESOTO AVE, SUITE A
CLARKSDALE, MS 38614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Undra Haggan's NPI number?

The NPI number for Undra Haggan is 1144785684. It was assigned to this individual provider in the NPPES registry on February 8, 2019.

Where is Undra Haggan located?

Undra Haggan practices at 1202 Desoto Ave, Clarksdale, MS 38614. The listed phone number is (662) 202-1297.

What is Undra Haggan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Undra Haggan enrolled in Medicare?

Yes. Undra Haggan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Undra Haggan accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Undra Haggan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Undra Haggan affiliated with any hospitals?

According to CMS data, Undra Haggan is affiliated with Northwest Missississippi Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Undra Haggan was last updated on June 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.